MID ISLAND MEDICAL PC
NPI 1356830954
Clinic/Center - Pain in East Patchogue, NY

Active since May 09, 2018
285 SILLS RD, EAST PATCHOGUE, NY 11772(631) 618-9030 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mid Island Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID ISLAND MEDICAL PC (NPI 1356830954) is a healthcare organization registered as a pain in East Patchogue, New York and active in the NPI registry since May 2018. The organization lists Musarrat Iqbal, Physician, as its authorized official.

NPPES Registry Identity

NPI1356830954
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameMID ISLAND MEDICAL PC
Location Address285 SILLS RDEast Patchogue, NY 11772-4869
Mailing Address285 Sills RdEast Patchogue, NY 11772-4869 · (631) 618-9030
Organization SubpartNo
Authorized OfficialMusarrat IqbalPhysician · (631) 618-9030
Enumeration DateMay 9, 2018
✔ NPI 1356830954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
License✔ Licensed in NY · 234347
285 SILLS RD, East Patchogue, NY 11772

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mid Island Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mid Island Medical PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Interventional Pain Management
NPI 1558441584
285 SILLS ROAD BUILDING 15, SUITE F
East Patchogue, NY 11772
(631) 618-9030
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid Island Medical PC's NPI number?

The NPI number for Mid Island Medical PC is 1356830954. It was assigned to this organization in the NPPES registry on May 9, 2018.

Where is Mid Island Medical PC located?

Mid Island Medical PC is located at 285 Sills Rd, East Patchogue, NY 11772. The listed phone number is (631) 618-9030.

What is Mid Island Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Is Mid Island Medical PC enrolled in Medicare?

Yes. Mid Island Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid Island Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Pain Management) reassigns their Medicare billing to Mid Island Medical PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mid Island Medical PC was last updated on May 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.